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Intermediate Risk Prostate Cancer Treatment Decision

Prostate Cancer | Last Active: 3 hours ago | Replies (32)
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@capatov

67 year old male with 7.1 PSA and Gleeson 7 (4+3) no way I was choosing open or robotic surgery, Stats show 50% chance of permanent incontinence and impotence. Plus up to 2 weeks with home urinary catheter and drains.

Being treated at leading SE multidisciplinary university health center... I elected three pronged approach:

- 6 months ADT (Orgovyx)
- 23 IMRT treatments
- 1 HDR high dose brachytherapy procedure (17 catheters - direct internal radiation - go home same day)

I feel great. Now 4 weeks post all treatments - except for lingering frequency at night (which gets a little bit better every day) I have no issues. Even ADT has been a breeze - no hot flashes, weight gain, or depression.

I go back for my first PSA blood test in late July - fingers crossed that my numbers are way down

I would strongly recommend the above treatment plan if your HCP feels it is appropriate

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Replies to "67 year old male with 7.1 PSA and Gleeson 7 (4+3) no way I was choosing..."
spino | @spino | 9 hours ago

I am glad you are pleased with your decision so far. I hope things continue to go well for you!

I elected RP in a similar situation at a similar age. I also feel pleased with my decision so far. I am now 3 years plus out. They did find cancer at the margin ("positive margin") when they did the pathology, but so far nothing has come of that. I am grateful.

BTW, I am not sure where you got your stats about incontinence and impotence, but I think many would disagree with those statistics. I have had the opportunity to read and research much more extensively in the three years after my surgery than I had in those very quick, rapidly getting up to speed weeks between initial (renewed) concerns about prostate cancer and the decisions that had to be made then.

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